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Neuro Exam- MG

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Question
Answer
Autoimmune disorder where impulses can't cross neuromuscular junction d/t damaged   acetylcholine receptors  
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MG affects voluntary muscles. Weankess ______ with activity   worsens  
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MG is purely a _____disorder   motor  
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MG is individualized. Course is ________   unpredictable  
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Most commonly affects young adult women ages _____and men _____ but can occur at any age   20-40 F and 60 M  
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80% of patients with MG will have either thymic hyperplasia or thymic tumor, because   Thymus is the site of acetylcholine antibody production  
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Earliest s/s of MG involve   eye or occular muscle (ptosis or diploplia)  
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Muscle weakness in the diaphragm and intercostal muscles lead to increased r/o   RR failure, pneumonia  
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Laryngeal involvement can lead to   dysphagia, dysphonia  
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Neuro exam with MG will include normal _____ test   sensory  
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Diagnosis is confirmed by ________ test. Detects acetylcholine receptor antibodies.   Tensilon  
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In this test, ________ is given IV. 30 seconds after injection, facial muscle weakness and ptosis resolve for 5 minutes.   Tensilon  
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What must be on hand to control SE of Tensilon test?   Atropine  
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What is significant SE of Tensilon test?   Bradycardia  
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MRI or CT will show ____ in 90% of cases   Enlargement of thymus gland  
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Created by: mreedy
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